I kin fil lɛk se yu skin ful-ɔp wit briz? Lɛ wi lan bɔt Subcutaneous Emphysema!

Yu dɔn ɛva notis se sɔntɛnde, afta dɛn dɔn ɔpreshɔn ɔ smɔl wund, sɔm pipul dɛn skin kin fil lɛk smɔl bɔbul we yu tɔch am? Ɔ we yu de pres sɔm say dɛn wit yu an, yu de yɛri wan strenj sawnd lɛk ‘kiti kiti’? Na dat wi go tok abaut tide. Pan ɔl we dis na nyu tin smɔl fɔ yɛri, i fayn fɔ no.

Wetin na dis briz we de ful-ɔp ɔnda di skin? (Subkutanɛs Ɛmfisɛma) .

fכ simpul wan, `(Subcutaneous Emphysema)` na we di briz de trכp insay di dip layεr na wi skin, di `(subcutaneous)` layεr כnda di skin. Dis na rili wan tin we nɔ kin apin so ɔltɛm. Bɔt i kin gɛt bɔku tin dɛn we kin mek i apin. I kin bi bikɔs ɔf sɔm infɛkshɔn, injury, ɔ smɔl aksidɛnt we dɛn de du ɔpreshɔn.

Naw yu go de wɔnda if na big tin fɔ gɛt briz ɔnda yu skin ɔltɛm. Infakt, i nɔmal fɔ mek smɔl briz gɛda ɔnda yu skin afta sɔm ɔpreshɔn dɛn, mɔ we yu du ɔpreshɔn wit laparoskopik. Bɔt bɔku tɛm, da briz de we kin gɛda na in di bɔdi kin tek am ɛn i kin lɔs insɛf, ɛn i nɔ kin mek ɛni big sayn. כltu, insay sכm kes dεm, dis kכndyushכn we dεn kכl ``Subcutaneous Emphysema`` kin bi sayn fכ כda כndalayn hεlth pr כblεm.

Dis kayn puffiness kin de mɔs si na di fes, nɛk, ɔr chɛst , bɔt i kin apin ɛnisay na di bɔdi.

Dis sik nɔr kin bɔrku. Dɛn se i kin afɛkt smɔl pasɛnt pan di jenɛral pipul dɛn, we na lɛk 2%. Wan stɔdi sho se di avrej ej fɔ di wan dɛn we dɛn no se gɛt am na lɛk 53 ia, ɛn lɛk 70% pan dɛn na man dɛn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi no dis?

Tu men sayn dεm de wae dεn kin si pan dis kכndyushכn:

• Di skin we de swel na di say we di sik afɛkt: I kin swel we tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Sɔntɛnde dɔktɔ dɛn kin kɔl dis `(Edema)`.
• Wan strenj sawnd we yu pres di skin: As a bin don tok bifo, wen yu pres di swel eria wit yu an, yu de yeri ‘krak krak’ saon, laik se dem de kros dray lif o dem de kros bobul rap. Dɔktɔ dɛn kin kɔl dis `(Crepitus)`. Dis na wan tin wae de mek dis sik rili difrɛn.

Apat frɔm dɛn tu men sayn ya, sɔm ɔda sayn dɛn kin de:

• I nɔ kin izi fɔ yu fɔ blo
• I nɔ kin izi fɔ swɛla it (dɛn kin kɔl am bak ``Dysphagia'') .
• Trot de at
• Nek de pen
• Bloating, lɛk se i ful-ɔp wit gas

Wetin mek dis de apin? Wetin na di rizin dɛn?

difrεn poshubul kכz dεm de fכ `Subcutaneous Emphysema`. Lɛ wi si wetin dɛn bi:

• Barotrauma: Imajin se, pɔsin we de dayvɔs skuba kin gɛt big chenj na di briz wantɛm wantɛm , ilɛksɛf na we i de go ɔp insay plen ɔ we i de dayvɔs insay di dip wata. I kin bi bikɔs ɔf dɛn kayn prɛshɔn chenj dɛn ya wantɛm wantɛm.
• Nyumotɔraks: Sɔntɛnde, we di lɔng dɛn dɔn pwɛl, di briz kin lik kɔmɔt ɛn gɛda na di chɛst. Dɔn, da briz de kin put prɛshɔn pan di lɔng dɛn ɛn di lɔng dɛn kin bigin fɔ fɔdɔm. Dat na di sik we dɛn kɔl Nyumotɔraks. Dis na wan big tin bak we kin mek pɔsin gɛt Subcutaneous Emphysema.
• Infεkshכn: Dis kכndyushכn kin kכz bak bay siriכs infεkshכn, spεshal wan sכm siriכs baktri infεkshכn, lεk necrotizing fasciitis.
• Injury: I kin kam bak we wi gɛt injury na wi chɛst, fes, ɔ sayn dɛn na wi ed.
• Aksidɛnt we kin apin we dɛn de du mɛrɛsin ɔ ɔpreshɔn: Sɔntɛnde, di briz kin gɛda ɔnda di skin dis kayn we bikɔs ɔf smɔl aksidɛnt, lɛk we di mɛrɛsin nɔ de wok fayn ɔ we dɛn put divays insay di bɔdi (e.g., intubation - we dɛn put tiub insay di aywe fɔ pɔsin we gɛt prɔblɛm fɔ blo).

Ɔda patikyula mɛrɛsin dɛn de we kin mek pɔsin gɛt dis sik:

• If dɛn nɔ yuz di bag-mask ventileshɔn we dɛn yuz fɔ gi atifishal briz we dɛn de du CPR fayn fayn wan.
• We dɛn put fidin tiub fɔ gi it.
• di pεrforeshכn dεm na di gεstrointestinal na ol dεm na di dijestiv sistεm.
• Wan malfunction na di mechanical ventilation mashin dɛn.

Na sכm tεm, dis kכndyushכn (Subcutaneous Emphysema) kin apin witout εni kכz.

Dis kin mek ɔda prɔblɛm dɛn apin?

Yes, insay sכm siriכs kes dεm, `(Subcutaneous Emphysema)` kin mek difrεn kכmplikεshכn dεm. Sɔm pan dɛn na:

• di lכng kכlaps (Pneumothorax) (dis kin bi wan kכz εn bak na kכmplikεshכn) .
• `Kɔmpartmɛnt sindrom` (dis kin apin we di prɛshɔn na wan patikyula kɔmpawtmɛnt de go ɔp ɛn di blɔd nɔ de flɔ)
• If yu gɛt pesmɛka, i kin ambɔg di we aw i de wok.
• Di blɔd we de go na di bren we de go dɔŋ.
• Prɔblɛm dɛn we de na di we aw pɔsin de blo.
• trakial kכmpreshכn (we min se sכmtin na wi brכnkial tכb dεm de kכmprεs εn blכk).

Impɔtant: If dis sik (Subcutaneous Emphysema) na infɛkshɔn, i kin mek yu gɛt prɔblɛm dɛn we rili siriɔs, ivin we go mek yu layf de pan denja. Fɔ ɛgzampul:

* Akyu respiratɔri distres sindrom (ARDS) .

*Kɔma

* Dilirium we de mek pɔsin fil bad

* Kidni nɔ de wok fayn

* Tisu day `(Nɛkrɔsis)`

* Sɛpsis (na wan bad bad sik we de skata ɔlsay na di bɔdi) .

Na dat mek dɛn se if yu gɛt ɛni dawt, ivin if na jɔs smɔl wan, yu fɔ go to dɔktɔ.

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ go nid fɔ du sɔm tɛst fɔ no if yu gɛt ``(Subcutaneous Emphysema)``. Lɛ wi luk wetin na dɛn tɛst dɛn de:

• Bronchoscopy: Dis na fɔ pas wan smɔl tiub we gɛt kamɛra dɔŋ di trakya fɔ chɛk if ɛni prɔblɛm de wit di lɔng ɛn di say dɛn we di briz de blo.
• CT scan (Computed Tomography scan): Dis tan lɛk X-ray, bɔt kɔmpyuta kin yuz bɔku X-ray fɔ mek rili klia, ditayli pikchɔ dɛn bɔt tin dɛn we de insay wi bɔdi, lɛk bon ɛn tisu dɛn.
• Ultrasound scan: Dis kin yuz ay frikshɔn sawnd wev fɔ tek pikchɔ dɛn insay di bɔdi.
• X-ray: Yuz redyushɔn fɔ tek tu-dimɛnshɔnal pikchɔ fɔ tin dɛn lɛk wi bon ɛn tisu dɛn.

Di kayn tɛst we yu nid go dipen pan usay yu gɛt swel ɛn wetin yu dɔktɔ tink se na in de mek yu gɛt di sik.

Wetin na di tritmɛnt dɛm fɔ dis?

We yu de trit `(Subcutaneous Emphysema)`, di tin we impɔtant pas ɔl na fɔ fɛn ɛn trit di ɔndalayn kɔz. Wae yu dɔktɔ bigin fɔ trit de kɔz, yu sayn fɔ bɛtɛ insay 10 to 14 dez.

Bɔku tɛm, we i nɔ kin rili bad, dɔktɔ dɛn kin yuz ɔksijɛn kɔnsɛntret. dis divays dεm de mek wi ebul fכ brith lεk 95% klin כksijεn. Dis min se wi bɔdi kin gɛt mɔ ɔksijɛn, we kin ɛp di briz we dɔn trɔp ɔnda di skin fɔ tek am bak kwik kwik wan.

Sɔntɛnde, di dɔktɔ kin nid fɔ du tin dɛn lɛk dis fɔ pul ɛni ɛkstra briz we dɔn trɔp:

• Tiub na di chɛst (Toracostomy) .
• Fɔ mek tu smɔl smɔl say dɛn ɔnda di klavikul bon dɛn na wi sholda.
• di yus fכ nidul, kateshכn (sכm sכm tכb dεm we gεt ol insay dεm), כ sכm sכm say dεm fכ pul di briz na כda pat dεm na di bכdi.

Bɔt if di sik rili bad, i kin nid fɔ du ɔpreshɔn. Ɔda we de fɔ mek dɔktɔ dɛn put smɔl smɔl tiub dɛn (dreyn) fɔ mek di briz we pasmak kɔmɔt.

Ɛnitin de we a go du fɔ mek a nɔ fil fayn?

Subcutaneous emphysema nɔ kin mek yu gɛt pen ɔltɛm. Bɔt if yu de fil ɛnitin we nɔ fayn ɔ we yu de fil pen, yu dɔktɔ go tɛl yu fɔ du dɛn tin ya:

• Di mɛrɛsin dɛn we de mek pɔsin fil pen
• Abdominal binder (dis kin ɛp fɔ ridyus di swɛlin ɛn diskɔmfɔt) .
• Kɔnsɛntret ɔksijɛn (as wi bin dɔn tɔk, fɔ ɛp fɔ blo) .

Aw lɔng i kin tek fɔ wɛl frɔm dis?

Bɔrku pipul dɛn kin wɛl insay 10 to 14 dez afta dɛn dɔn trit dɛn. Wan stɔdi sho se di tɛm we pɔsin kin wɛl, ivin if i sik bad bad wan, na lɛk 16 dez. So,If yu gɛt di rayt tritmɛnt, yu kin wɛl kwik kwik wan.

Wetin na di lukin-grɔn fɔ dis sityueshɔn? (Autluk) .

Wit tritmɛnt, de lukin-grɔn kin jɔs fayn. Dat min se chans de fɔ mek i wɛl. Bɔt tɛm na di men tin na ya. Di kwik we yu go to dɔktɔ, na di mɔ yu go ebul fɔ ridyus di sik dɛn we yu gɛt ɛn nɔ go gɛt siriɔs prɔblɛm dɛn.

Aw lɔng dis tin go las?

Wit tritmɛnt, bɔrku pipul dɛm wae gɛt ``Subcutaneous Emphysema'' kin wɛl insay lɛk tu wiks.

Yu tink se we de fɔ mek dis nɔ apin?

כl di tεm dεm, `(Subcutaneous Emphysema)` kin apin fכ rizin dεm we wi nכ kin kכntro. Dat min sɔntin lɛk aksidɛnt ɔ ɔpreshɔn. So rili natin nɔ de we yu go du fɔ mek i nɔ apin. Nɔto yu fɔlt. If yu gɛt ɛni sayn, di bɛst tin fɔ du na fɔ tɔk to dɔktɔ wantɛm wantɛm. Dɔn di dɔktɔ go disayd if yu nid tritmɛnt, ɛn if na so, us kayn tritmɛnt.

Ustɛm a fɔ go to dɔktɔ?

If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya, go to dɔktɔ wantɛm wantɛm:

• Swel na di skin we nɔ gɛt ɛni rizin.
• If yu yɛri ‘squeaking’ sawnd we yu prɛs di skin we afɛkt.
• Fɔ blo.
• If i at fɔ blo ɔ swɛla sɔntin.
• If yu gɛt pen na yu nɛk ɔ yu trot de at.

I nɔ fayn fɔ delay na tɛm lɛk dis. I impɔtant fɔ gɛt tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

If dɛn no se yu gɛt ``Subcutaneous Emphysema'', yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• Wetin de mek dis tin apin to mi?
• Yu tink se dis go wɛl fɔ insɛf?
• A nid tritmɛnt? If na so i bi, us kayn tritmɛnt?
• A go gɛt fɔ de na di ɔspitul?
• Ustɛm a go ebul fɔ go bak na wokples ɔ skul?

I rili impɔtant fɔ aks dɛn kwɛstyɔn ya ɛn ɔndastand di tin we de apin to yu klia wan.

Dis ``Subcutaneous Emphysema'' na imejensi?

Subcutaneous emphysema nɔto ɔltɛm na imejensi ɔ layf de pan denja. Bɔt ilɛk uskayn sik yu gɛt, i impɔtant fɔ go to tritmɛnt kwik kwik wan. Bɔrku pipul dɛm wae gɛt dis sik kin gɛt smɔl smɔl sayn dɛm nɔmɔ. Bɔt sɔm pipul dɛn kin gɛt siriɔs prɔblɛm dɛn. If yu gɛt ɛni simptom we de mek yu wɔri – fɔ ɛgzampul, yu skin de luk swel ɛn puf, ɔ yu yɛri da ‘squeaky’ sawnd de – yu fɔ go to dɔktɔ wantɛm wantɛm.

Fɔ gɛt injuri ɔ fɔ ɔpreshɔn, dɔn ɔlrɛdi de mek yu strɛs. Pan tap dat, if kɔmplikeshɔn kam, yu kin fil lɛk se yu nɔ go ɛva ebul fɔ go bak to nɔmal. Subcutaneous emphysema na wan sik we nɔ kin apin so ɔltɛm. Bɔt if i apin, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. if dεn nכ trit am, sכbkutan εmfysema kin mek כda – εn i kin mכr siriכs – kכmplikεshכn dεm.

Faynal Mɛsej fɔ Tek-Hom

Okay, so naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, ``(Subcutaneous Emphysema)''. Di tin we impɔtant pas ɔl na fɔ nɔ panik if yu si dɛn sik ya, bɔt fɔ go to dɔktɔ we yu nɔ de te.

Mɛmba:

* Pan ɔl we di briz nɔ kin gɛda ɔnda di skin, sɔm wɛlbɔdi prɔblɛm dɛn kin kam wit am.

* Di men sayn dɛm na di skin we de swel ɛn ‘swɛt’ sawnd we yu tɔch am.

* If yu fɛn di tin we de mek yu gɛt am ɛn trit am, yu go wɛl kwik kwik wan.

* If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm.

Wi de wish yu ɛn yu famili gud wɛlbɔdi!

` Subcutaneous Emphysema, di briz we de ful-ɔp di skin, di briz we de ɔnda di skin, swel, krepitus, i nɔ izi fɔ blo, i gɛt prɔblɛm wit di lɔng